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  • Tuition Assistance Application
Tuition Assistance Application
Father's Name (First/Last):*
Father's Current Address (Street/City/State/Zip):*
Father's Email:*
Is father a member of Bethlehem?*
 Yes
 No
Mother's Name (First/Last):*
Mother's Current Address (Street/City/State/Zip):*
Mother's Email:*
Is mother a member of Bethlehem?*
 Yes
 No
Child's Name:*
Grade entering in the fall:*
Child's Age:*
School Attending:*
 Grace Lutheran School
 Martin Luther School
 Winnebago Lutheran Academy


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